DIRECTED ENERGY PROFESSIONAL SOCIETY Directed Energy Education Workshop Registration 30 November 2012 Albuquerque, NM Thank you for your support of DEPS activities. This form permits you to register for the Directed Energy Education Workshop separately from the Annual Directed Energy Symposium. You do not need to submit this registration if you are also registering for the symposium. Asterisks note the fields required by DEPS to process your registration.     Registrant's Personal Information * Name:    Name for badge: * Organization:   * Address: * City: * State: * Zip code:   * Phone: * E-mail: * E-mail (confirm):   To reduce errors, we ask that you enter your email a second time.      Cell Phone:    Alternate E-mail:   Note: Use the Alternate Email field if you wish to have confirmation emails sent to a secondary address such as administrative personnel.     Please check here if you require special assistance Once you have completed the fields on this form, press the Submit button to process this information. You will be given a chance to review your registration prior to final submission. The Reset button will clear the entire form. Once complete, you should receive an email confirmation of your registration. If you do not receive this confirmation email, we did not receive your registration. Please call the DEPS office.         Copyright 2011 Directed Energy Professional Society   DHTML/JavaScript Menus by OpenCube

Last updated: 28 September 2012